Here are the legal records/documents drug store needs for license –

1.     Drug File:

2.     Correspondence File:

3.     Drug license:

4.     Inspection Record:

5.     Registered Pharmacist:

6.     Change of Registered Pharmacist:

7.     Refrigerator:

8.     Purchase record of drugs:

9.     Sale Records of Drugs:

10.  Schedule H1 register:

11.  TB Drugs records:

12.  NDPS drugs record:

13.  Suspension License:

14.  Expiry drugs:

15.  Returned drugs:

16.  NSQ drugs:

4. Write its factors influencing ADR

Patient-Related Factors

  • Age: Both very young and elderly patients are more susceptible to ADRs.
  • Gender: Gender differences can influence drug metabolism and response.
  • Genetics: Genetic variations can affect drug absorption, metabolism, and response.
  • Disease conditions: Underlying diseases can interact with medications, increasing the risk of ADRs.
  • Renal and hepatic function: Impaired kidney or liver function can affect drug clearance and increase the risk of toxicity.
  • Allergies: Preexisting allergies to drugs or related substances can increase the risk of allergic reactions.
  • Pregnancy and breastfeeding: Medications can have different effects on pregnant and breastfeeding women, and on the foetus or infant.

Drug-Related Factors

  • Dose and frequency: Higher doses and more frequent administration can increase the risk of ADRs.
  • Drug interactions: Interactions with other medications, food, or substances can alter drug absorption, metabolism, or efficacy.
  • Drug formulation: The formulation of a drug (e.g., tablet, injection) can affect its absorption and bioavailability.
  • Drug class: Certain drug classes (e.g., nonsteroidal anti-inflammatory drugs, anticoagulants) are more commonly associated with ADRs.

Environmental Factors

  • Smoking: Smoking can affect drug metabolism and increase the risk of ADRs.
  • Alcohol consumption: Alcohol can interact with medications and increase the risk of liver damage.
  • Diet: Certain foods can interact with medications, affecting their absorption or efficacy.

Healthcare Provider Factors

  • Prescribing practices: Inappropriate prescribing practices, such as polypharmacy or failure to consider patient-specific factors, can increase the risk of ADRs.
  • Monitoring and education: Inadequate monitoring of patients and education about potential ADRs can contribute to adverse outcomes.

 

5. Enumerate the procedure for material management in a hospital pharmacy?


1. Demand Forecasting:

  • Analyse historical data: Review previous Medicine consumption patterns and analyse the health condition of the patient.
  • Seasonal Diseases: Identify if there is an occurrence of seasonal disease in the patient or not.

2. Purchase Requisition:

  • Identify needs: Determine the quantity and type materials needed on account of flawless conduct of the system.
  • Prepare requisition: Create a formal request specifying the items, quantities, and desired delivery date.
  • Obtain approvals: The requisition is reviewed and approved by appropriate personnel, such as the pharmacy director or purchasing department.

3. Vendor Selection and Negotiation:

  • Evaluate vendors: Consider factors like price, quality, delivery time, and compliance with regulatory standards.
  • Negotiation: Work with vendors to negotiate favourable pricing, payment terms, and other contractual conditions.
  • Establish relationships: Build strong relationships with reliable vendors to ensure consistent supply and support.

4. Receiving:

  • Place orders: Submit purchase orders to selected vendors based on the approved requisitions.
  • Inspect goods: Ensure that the received items meet the specified standards and are free from defects.

5. Storage and Inventory Management:

Implement a systematic storage system

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All the Items are labelled as per SOP and cGMP norms

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Follow the FIFO (First In, First Out) principle to prevent expiration of older supplies.

 

6. Distribution:

·       Process medication orders from various departments within the hospital, ensuring timely delivery to patient care areas.

·       Double-check the accuracy of medication dispensing and labelling to prevent errors.

·       Keeping Records.

7. Waste Management:

  • Dispose of expired, damaged, or returned medications according to regulatory guidelines.
  • Participate in medication return programs to ensure safe disposal and prevent environmental contamination.

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